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ARCHIVED REPORTS_XR0006370
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0528433
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ARCHIVED REPORTS_XR0006370
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Entry Properties
Last modified
4/7/2020 1:07:24 PM
Creation date
4/3/2020 4:44:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0006370
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\sballwahn
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EHD - Public
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6ETTLER - RYA N INC. <br /> WELL MON ITORINGISAMPLING <br /> FIELD DATA SHEET <br /> Client/Facility# ChevronTexaco #9-6171 .lob Number 385121 i <br /> Site Address 6633 Pacific Avenue Event Date -X-/S% (inclusive) <br /> City Stockton, CA _ m - Sampler <br /> Well ID MW- Date Monitored - /S-GC3 Well Condition Ale <br /> WellDiameter 1 4 1 6 In <br /> / Volume 314"=0 02 1"=0 04 2"=0 17 3"=0 38 <br /> rp <br /> Total Depth / (0 15 ft Factor(VF) 4"=0 66 5"=1 02 6"= 1 50 12"= 5 80 <br /> Depth to Water .� 9& ft <br /> a,S• �j <br /> xVF Q _ x3(case volume)= Estimated Purge Volume -,�Q 9al <br /> ams -- <br /> Time Started (2400 hrs) <br /> Purge Equipment Sampling Equipment Time Bailed (2400 hrs) <br /> Disposable Bader Disposable Bader Depth to Product ft <br /> Stainless Steel Bailer Pressure Bader Depth to Water <br /> Stack Pump '�� Discrete Bader Hydrocarbon Thickness —ft <br /> Suction Pump Other Visual ConfirmationlDescnption <br /> G rundfos <br /> Skimmer 1 Absorbent Sock(circle one) <br /> Other Amt Removed from Skimmer gal <br /> - Amt Removed from Well gal <br /> Product Transferred to . <br /> Start Time (purge) �„?S� Weather Conditions l { <br /> Sample Time/Date - _SDS-�4-0,`43 _Water Color d[Getr _Odor o <br /> Purging Flow Rate eV !C' gpm Sediment Description <br /> D I d Well de-water? -if yes;Time _ -__ --Volume --gal—- _--- - - -- - - - <br /> Time volume p H Conductivity Tem erature D O ORP <br /> (2400 hr) (gal) (umhoslcm) �F) (mg1L) (mV) <br /> �a51s xs .�fp- <br /> /ash <br /> 9.17 <br /> LABORATORY INFORMATION <br /> SAMPLE ID (#)CONTAINER REFRIG PRESERV-TYPE 'LABORATORY" -- ANALYSES-- <br /> MW- x voa vial YES HCL LANCASTER TPH-G(8015YBTEX+MTBE(8260)-OR- <br /> MW- x voa vial YES HCL LANCASTER <br /> COMMENTS - <br /> Add/Replaced Lock Add/Replaced Plug Size <br />
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